Individual provider Active NPI

Sandeep Kumar Jewani, MD

  • Pulmonary Disease Physician
  • Louisville, KY
National Provider Identifier
1245627546
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
58035 Issued in KY
Practice address
4003 Kresge Way Ste 312
Louisville, KY 40207-4652
Phone
(502) 899-7377
Fax
(502) 899-1972
NPI assigned
Apr 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036148142 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 58035 KY
Hospitalist Physician 208M00000X 036148142 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X CDR.0001491 CO
Pulmonary Disease Physician 207RP1001X CDR.0001491 CO
Pulmonary Disease Physician 207RP1001X 58035 KY Primary

Addresses

Primary practice location

4003 Kresge Way Ste 312
Louisville, KY 40207-4652

Mailing address

225 S Harrison St Apt 209
Denver, CO 80209-3379
Phone (810) 488-6689

Other practice location 1

2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-2000

Other practice location 2

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (303) 724-3994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220627000761 CO Practitioner - Pulmonary Disease 7810290624 Reassigns benefits to 1 organization
I20230718002793 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7810290624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Louisville Pulmonary Care PLLCGroup PAC ID 9830094309, 16 clinicians

Practice addresses (Care Compare)

4003 Kresge Way
Suite 312
Louisville, KY 40207-4652
Phone (502) 899-7377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
87.12
Promoting interoperability
99
Improvement activities
40
Cost
73.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CDR.0001491COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Louisville Pulmonary Care PLLC Critical Care Medicine CurrentSince Jun 7, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
National Jewish Health CurrentSince Jul 1, 2022 Accepting new patients
Baptist Healthcare System Inc. Past Accepting new patients

Locations

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

1023 New Moody Ln
Ste 202A
Lagrange, KY 40031
Phone (502) 222-3324

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2400 Harrodsburg Rd
Lexington, KY 40503
Phone (859) 278-0319

4003 Kresge Way
Ste 312
Louisville, KY 40207
Phone (502) 313-6500

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10033054
  • Direct secure messaging: sandeepjewani@lpcpllc.allscriptsdirect.net
  • Direct secure messaging: sjewani77337@direct.luhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1245627546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S HARRISON ST APT 209",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093379",
            "telephone_number": "810-488-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 KRESGE WAY STE 312",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074652",
            "telephone_number": "502-899-7377",
            "fax_number": "502-899-1972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602011700",
            "country_code": "US",
            "telephone_number": "847-570-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "303-724-3994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWANI",
        "first_name": "SANDEEP",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036148142",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "58035",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036148142",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "CDR.0001491",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "CDR.0001491",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "58035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.